Organization
MOUNTAINSTATE ORTHOPEDIC ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEY L SNEED (PRACTICE ADMINISTRATOR)
(304) 599-0720
Entity
Organization
Contact information
Practice address
200 ORTHOPEDIC WAY, MORGANTOWN, WV 26505-1240
(304) 599-0720
(304) 599-3962
Mailing address
200 ORTHOPEDIC WAY, MORGANTOWN, WV 26505-1240
(304) 599-0720
(304) 599-3962
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
213E00000X
Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010621000
—
WV
Enumeration date
02/28/2006
Last updated
04/29/2022
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